Family First Counseling and Addiction Services LLC

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Legal business name

FAMILY FIRST COUNSELING AND ADDICTION SERVICES LLC

Practice address

295 Washington Ave Ste 9
Hamden, CT 06518-3025

Phone

(203) 525-0995

NPI assigned

Jul 15, 2022

Last updated

Apr 24, 2024By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Kerry Law, LMFTNPI 1831519859

Title

Provider

Phone

(203) 525-0995

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kerry Law, LADC

  • Addiction (Substance Use Disorder) Counselor
  • New Haven, CT
  • NPI 1831519859
  Medicare reassignment NPD Authorized official
• Robert Martin Koenig, PH.D.

  • Clinical Psychologist
  • Hamden, CT
  • NPI 1528078441
  NPD
• Leslie Pollack, MSW, LCSW

  • Clinical Social Worker
  • Hamden, CT
  • NPI 1104847201
  NPD
• Jeffrey Warren Summerville, PSY.D., LCSW

  • Clinical Social Worker
  • Hamden, CT
  • NPI 1013926708
  NPD
• Barbara J Esposito, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Hamden, CT
  • NPI 1285659987
  NPD (past)
• Robert Silliman White, MD

  • Psychiatry Physician
  • New Haven, CT
  • NPI 1568466134
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1657843200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713916800000",
    "number": "1780318527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 NUTMEG HILL RD",
            "city": "HAMDEN",
            "state": "CT",
            "postal_code": "065141196",
            "telephone_number": "203-525-0995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "295 WASHINGTON AVE STE 9",
            "city": "HAMDEN",
            "state": "CT",
            "postal_code": "065183025",
            "telephone_number": "203-525-0995"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "112 Nutmeg Hill Rd",
            "address_purpose": "LOCATION",
            "city": "Hamden",
            "state": "CT",
            "postal_code": "065141196",
            "country_code": "US",
            "telephone_number": "203-525-0995",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FAMILY FIRST COUNSELING AND ADDICTION SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-15",
        "last_updated": "2024-04-24",
        "certification_date": "2024-04-24",
        "status": "A",
        "authorized_official_last_name": "LAW",
        "authorized_official_first_name": "KERRY",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "203-525-0995",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eric Brenner Fabricant, MSW, LCSW
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• Family Practice and Internal Medicine of Hamden
• Family Psychiatric Services
• Family Services of Central Connecticut, Inc.
• Jeralyn R Fantarella, D.M.D.
• Jirina Ann Fargeorge, LMSW

• Marriage & Family Therapist in Hamden, CT
• Providers in Hamden, CT by specialty
• Marriage & Family Therapist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.